A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

Striae gravidarum

Chloasma

Linea nigra

Eczema

Psoriasis

Answer and Explanation

Correct Answer : A,B,C

Explanation:

A. Striae gravidarum: Also known as stretch marks, striae gravidarum are common during pregnancy due to the stretching and thinning of the skin as the uterus expands. They often appear as pink or purple streaks on the abdomen, breasts, hips, and thighs.

B. Chloasma: Chloasma, also called the "mask of pregnancy," refers to hyperpigmented areas on the face, typically appearing as brown patches on the cheeks, forehead, and upper lip. It is caused by hormonal changes during pregnancy and increased melanin production.

C. Linea nigra: Linea nigra is a dark line that develops vertically along the midline of the abdomen during pregnancy. It is caused by hormonal changes and increased pigmentation, and it typically fades after childbirth.

D. Eczema: Eczema, a skin condition characterized by red, itchy, and inflamed patches, may or may not be directly related to pregnancy. Some women may experience flare-ups of eczema during pregnancy due to hormonal changes or other factors, but it is not specific to the second trimester.

E. Psoriasis: Psoriasis, another skin condition characterized by red, scaly patches, may also flare up during pregnancy for some individuals. However, like eczema, it is not specific to the second trimester and can occur at any time.

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Correct Answer is B

Explanation

Explanation:

To calculate the estimated date of delivery (EDD) based on the client's last menstrual period (LMP), the nurse can use Naegele's rule. Naegele's rule calculates the EDD by adding 7 days to the first day of the LMP, subtracting 3 months, and then adding 1 year.

Given the client's last menstrual period was July 4, 2020, we can apply Naegele's rule:

Add 7 days to July 4, 2020: July 11, 2020

Subtract 3 months: April 11, 2020

Add 1 year: April 11, 2021

Therefore, the appropriate response by the nurse is:

B. April 11, 2021

A. "This could result in profound bleeding." B. "This could initiate preterm labor." C. "There is an increased risk of rupture of the membranes." D. "There is an increased risk of introducing infection."

Correct Answer is A

Explanation

Explanation:

A. "This could result in profound bleeding."

This is the correct explanation. Placenta previa involves the placenta partially or completely covering the cervix. Performing an internal examination, such as a vaginal exam, can disrupt the placenta and lead to severe bleeding. This bleeding can be dangerous for both the mother and the baby, making it a critical concern to avoid internal exams in placenta previa cases.

B. "This could initiate preterm labor."

While internal examinations may trigger preterm labor in some cases, the primary concern in placenta previa is the risk of significant bleeding. Preterm labor is not typically the primary reason for avoiding internal exams in placenta previa; instead, the focus is on preventing bleeding and its associated complications.

C. "There is an increased risk of rupture of the membranes."

While an internal examination may carry a risk of membrane rupture, especially in situations with low-lying placenta or marginal previa, the primary concern in placenta previa is the potential for severe bleeding if the placenta is disturbed. Rupture of membranes is a consideration but is not the main reason for avoiding internal exams in placenta previa.

D. "There is an increased risk of introducing infection."

While infection is a concern with any invasive procedure, including internal examinations, it is not typically the primary reason for avoiding internal exams in placenta previa. The main focus is on preventing bleeding complications that can arise from disrupting the placenta.

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A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was July 4, 2020. Which of the following is the appropriate response by the nurse?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 37 weeks of gestation and diagnosed with placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?

Correct Answer is A

Explanation

When caring for the culturally diverse clients, which intervention should demonstrate that the nurse is being culturally sensitive to families?

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

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A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?

A client at 20 weeks gestation reports discomfort after amniocentesis procedure to the nurse. Which of the following assessment findings warrants priority action by the nurse?

A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?